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HomeMy WebLinkAbout770 WESLEYAN BAY - Building Permitsi. 7oBUILDING-SAFETYO COSTA MESA BUILDING -SAFETY SAFETY DEPA T& T6lv8"AP�LIC CTION ION FOR'STRUCfURAL PERMIT` i T P.©. BOX 120p COSTA MESA, CALIFORNIA 92626 RQCEIVEQ BY P RMIT B For Applicant to Fill in Completely ADDRESS Tract 10626 — TENANT OWNEROR M.D. Janes CO., Inc.DRESS BBUILDING UILDING ILDING ADDMAIRESS 2950 Airway Ave., D -CE IT N NO. NO. ary Coate Mesa . .17 CONSTRUCTION LENDER Not selected JW EW AE BRANCH N/A ADDRESS N/A NER ARCHITECT ORENGINEER Dani l E 3848 CaNEPFfOVEDCONTRACTOR 3ADDRESS rlr pr ADDRESS S7 59 N - LOT ELK 4LTER REEPA``IR MOVING DEMOLIS VALUE E T 3 TYPF V GRnUP //. TEL. CITY a NO. dl STATE 'CITYAPPROVED SETBACKS LIC. NO. B LIC. NO.SIZE NO.OF B(FROM C/L ST TOF LOT 550t X 334' NOW ON FWK 2_ USE OF EXISTING BLDG. N/A R nE FT. P. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION COLYJO�i a/GI/ / _ I DATE APPROVED 1 hereby acknowledge that I have read this application and "ate that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am etempt from the rovisions of the State of California Bpsiness antl Professions Cod Divisil Chapter 9. Signature of Permittee or 8/17/79 Authorized Agent to C THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE S PLAN CHECK $ Sd S �� ` TAX $ TOTAL PAID $IIi